
Check the tournament you wish to enter.
Please circle the
level of team entry.
____ Jan 8-10, 2010 Bantam $300 A B
____ Jan 29- 31, 2010 Squirt $200 A
B
____ Feb 12 - 14, 2010 Pee Wee $250
A
B
____ Mar 5 - 7, 2010 Mite-Mini Mite Jamboree $125
_____ Mini-Mites
_____ Beginning Mites (mostly first year players)
_____ Advanced Mites
(mostly second year players)
Team Name/Association Name__________________________________
Team Colors__________________________________
Coach or Contact Name__________________________________
Coach or Contact Phone Number___________________________
Coach or Contact Address________________________________
Coach or Contact Address________________________________
Coach or Contact E-Mail___________________________________
Please send this form, entry fee, and copy of team roster and birthdates to
Worthington Hockey Association
PO Box 123
Worthington, MN 56187
Hotel Information available at http://www.wgtn.net/lodge.htm
Dining Information available at
http://www.wgtn.net/dine.htm
Tournament Information available at http://www.wgtnhockey.net/tournaments.html
Map to Worthington Ice Arena available at http://www.wgtnhockey.net/arenamap.html
Rules available at http://www.wgtnhockey/tournaments/rules.html